Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.08 / $530.70 / $870.00	Facility		$247.08	$530.70	$870.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $322.04 / $482.76 / $774.00	Facility	25	$322.04	$482.76	$774.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $47.28 / $66.00	Professional		$30.72	$47.28	$66.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $59.10 / $136.00	Professional		$39.93	$59.10	$136.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.00 / $636.00 / $783.00	Facility		$636.00	$636.00	$783.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $49.99 / $75.63	Professional		$35.25	$49.99	$75.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $514.00 / $514.00	Facility		$416.00	$514.00	$514.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $48.36 / $75.29	Professional		$32.94	$48.36	$75.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $45.78 / $100.00	Professional		$0.50	$45.78	$100.00
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $163.50 / $163.50 / $163.50	Professional	25	$163.50	$163.50	$163.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $39.81 / $59.72	Professional		$0.50	$39.81	$59.72
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $45.41 / $83.64	Professional		$34.15	$45.41	$83.64